Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.98 / $39.27 / $151.52	Facility	26	$29.98	$39.27	$151.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $50.00 / $91.22	Professional		$42.02	$50.00	$91.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.98 / $36.52 / $65.67	Professional	26	$29.98	$36.52	$65.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.04 / $13.89 / $25.56	Professional	TC	$12.04	$13.89	$25.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $49.95 / $87.42	Professional		$49.95	$49.95	$87.42
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $35.71 / $35.71 / $74.77	Professional	26	$35.71	$35.71	$74.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.32 / $52.32 / $52.32	Facility	26	$52.32	$52.32	$52.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $78.05 / $116.36	Professional		$50.02	$78.05	$116.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.08 / $55.00 / $82.20	Professional	26	$36.08	$55.00	$82.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.91 / $22.84 / $34.84	Professional	TC	$14.91	$22.84	$34.84
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $46.83 / $75.48	Professional		$43.71	$46.83	$75.48
Florida Blue Facility/Professional Professional Modifier 26 Low / Median / High Price $31.24 / $33.47 / $53.30	Professional	26	$31.24	$33.47	$53.30
Florida Blue Facility/Professional Professional Modifier TC Low / Median / High Price $12.46 / $13.35 / $22.34	Professional	TC	$12.46	$13.35	$22.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.82 / $43.92 / $83.18	Professional		$25.82	$43.92	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $50.78 / $67.01 / $116.24	Professional		$50.78	$67.01	$116.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.70 / $46.87 / $87.39	Professional	26	$35.70	$46.87	$87.39
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.60 / $19.71 / $32.28	Professional	TC	$14.60	$19.71	$32.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $38.29 / $38.29	Professional		$38.29	$38.29	$38.29
Wellpoint Facility/Professional Professional Modifier 26 Low / Median / High Price $26.91 / $26.91 / $26.91	Professional	26	$26.91	$26.91	$26.91
Wellpoint Facility/Professional Professional Modifier TC Low / Median / High Price $11.39 / $11.39 / $11.39	Professional	TC	$11.39	$11.39	$11.39